Hepatic tuberculosis is uncommon, lack of specific clinical manifestations and imaging features, so it can easily be misdiagnosed in clinical. Herein, we discuss variety of its forms and summarize the diagnosis and treatment of
hepatic tuberculosis in this paper. Five cases of
hepatic tuberculosis are described. The diagnosis, treatment and outcome of the patients are discussed. Image examination associated with image-guided fine needle aspiration biopsy is the best diagnostic method. In our center, three patients underwent needle biopsy and confirmed
hepatic tuberculosis. In addition, two patients preoperative misdiagnosed as
cholangiocarcinoma were confirmed
hepatic tuberculosis by postoperative pathology. Three patients underwent
surgical procedures along with anti-tubercular
drug therapy, two patients received only anti-tubercular
drug therapy. The renal post-
transplantation patient with
hepatic tuberculosis eventually died of
multiple organ failure (
MODS). The other four patients were followed for 48~120 months, yielding no recurrence of
hepatic tuberculosis. In conclusion,
hepatic tuberculosis usually associated with atypical clinical manifestations. Image examination associated with image-guided fine needle aspiration biopsy is the best diagnostic method. Anti-TB treatment is effective in most of cases. However, if there are indications for surgery or difficult to diagnose,
surgical procedures along with anti-tubercular
drug therapy could be adopted.